Yes. The neurologist basically described that the "feelings" I am getting cannot be seen from an MRI.
He believes it has something to do with brain chemistry. The doctor prescribed Klonopin for me,
as well as Amrix which is a muscle relaxer because he noticed how stiff my neck was and the neck
pain and upper back pain I was having. However, I told him that I have never felt
depressed/anxious before enough to do this sort of thing to my body. I found one condition on a
website that describes my symptoms in full...it is called cervical myelopathy, a compression of the
spinal cord that can cause numbness in the limbs and difficulty walking.
Can anyone help me interpret what these MRI findings mean?
MR CERVICAL SPINE WITHOUT AND WITH CONTRAST, 4/6/09 @ 6:31 PM:
23-year-old male with numbness in muscles, sensitivity all over
Axial T2, T1 and post contrast T1-weighted images were obtained, as
well as sagittal T1, T2, proton density, STIR and post contrast
No prior exam is available for comparison.
There is motion artifact on multiple sequences which slightly limits
evaluation. The normal cervical lordosis is grossly maintained with no
acute fracture or subluxation appreciated. Prevertebral soft tissues
appear unremarkable with no abnormal paraspinous collections or masses
appreciated. No geographic marrow lesion is identified. There is mild
loss of disc signal and disc height at the C3-C4 levels, though no disc
bulge, neural foraminal stenosis or central canal stenosis is seen.
Atlanto-axial and atlanto-occipital articulations are grossly
maintained. The posterior fossa is normal in configuration.
At C5-6, there is a mild broad-based generalized disc bulge which is
slightly greatest centrally. This causes anterior effacement of the
thecal sac, though it does not contact the cord and does not cause
significant central canal stenosis. No significant neural foraminal
stenosis is seen at this level, either.
The C6-7 and C7-T1 levels appear unremarkable.
There is a punctate area of increased T2 signal within the central
cord at the C4 level. It is located at the very center of the cord and
is appreciated on axial image 10-33; this is most consistent with a
punctate syrinx or focal dilatation of the central canal of the spinal
cord. However, this measures only 1-2 mm in size and is of
questionable significance. No other areas of abnormal T2 cord signal
are present. No abnormal areas of enhancement are identified. On T1
images, there appears to be normal signal flow voids within the
bilateral vertebral arteries with the left vertebral artery slightly
MILD DEGENERATIVE DISC DISEASE WITHOUT SIGNIFICANT CENTRAL CANAL
STENOSIS OR CORD EDEMA. PUNCTATE AREA OF DILATATION OF THE CENTRAL
CANAL IN THE SPINAL CORD IS OF QUESTIONABLE SIGNIFICANCE, LOCATED AT
THE C4 LEVEL. NO AREAS OF ABNORMAL ENHANCEMENT OR CORD SIGNAL TO
SUGGEST INVOLVEMENT OF IMS.*** Final *** Trans On: 04/06/2009 21:1by: SEE
MR THORACIC SPINE WITH AND WITHOUT CONTRAST: 4/6/09 at 6:31 p.m.
CLINICAL HISTORY: 23 year old male with dizziness and numbness.
There is concern for multiple sclerosis.
TECHNIQUE: Sagittal T2, T1, proton density, STIR and post contrast
T1-weighted images were obtained as well as axial T1, T2 and post
contrast T1-weighted images.
FINDINGS: No geographic marrow lesions are identified. The
vertebral heights are maintained. No acute fracture or subluxation
identified. There is some minimal loss of disc signal within upper
thoracic disc levels though overall disc heights are maintained. No
central canal or neural foraminal stenosis is present. No abnormal
areas of T2 cord signal are present within the cord. No epidural mass
or hematoma is identified. No abnormal areas of enhancement are seen.
Thoracic aorta appears unremarkable in the visualized portions with no
aneurysm or dissection.
IMPRESSION: UNREMARKABLE APPEARANCE OF THORACIC SPINE WITH TRACE
UPPER THORACIC MINIMAL DEGENERATIVE DISC DISEASE.*** Final *** Trans On: 04/06/2009 21:4by: MAZ